DIANNE B WAGNER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041313207

License Status

NOT RENEWED

Business

First Name

DIANNE

Middle

Last Name

WAGNER

Business Name

DIANNE B WAGNER

Original Issue Date

02/22/1999

Effective Date

02/22/1999

Expiration Date

05/31/2004

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/09/2006